| Charles F. Hertzog, D.m.d., P.c. | |
|
118 Dickerson Rd Suite D North Wales PA 19454-2538 | |
| (215) 699-9058 | |
| (215) 699-9599 |
| Full Name | Charles F. Hertzog, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 118 Dickerson Rd, North Wales, Pennsylvania |
| Authorized Official Name and Position | Charles F. Hertzog (OWNER) |
| Authorized Official Contact | 2156999058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles F. Hertzog, D.m.d., P.c. 118 Dickerson Rd Suite D North Wales PA 19454-2538 Ph: (215) 699-9058 | Charles F. Hertzog, D.m.d., P.c. 118 Dickerson Rd Suite D North Wales PA 19454-2538 Ph: (215) 699-9058 |
| NPI Number | 1427198258 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427198258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS024908L (Pennsylvania) | Primary |
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